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Time course of pharmacokinetic and hormonal effects of inhaled high-dose salvinorin A in humans.

Matthew W Johnson, Katherine A Maclean, Michael J Caspers, Thomas E Prisinzano, Roland R. Griffiths

Journal of psychopharmacology (Oxford, England) April 1, 2016 DOI: 10.1177/0269881116629125 (opens in new tab)

Study at a glance

AI-extracted from the abstract
Characteristics Observational study Peer reviewed
Sample size 6
Population Healthy adults
Intervention Salvinorin A
Dose 21 mcg/kg (n=4), 18 mcg/kg (n=2)
Duration 60 min post-inhalation for effect ratings, 90 min post-inhalation for blood samples
Topics Salvia divinorum
Keywords Cortisol Endocrine Prolactin Pharmacokinetics pharmacokinetics Bloodstream Rapid onset Decline Levels Impacts the body Peaks Quickly Tracking Psychoactive compound Work Inhalation method Drug effects effects Participant experiences Correlating Linked
Citations 11
Post-publication review 1 comment on PubPeer (opens in new tab) · last active September 2016
Key findings Plasma levels of vaporized salvinorin A peak at 2 minutes post-inhalation and are significantly positively correlated with participant and monitor drug effect ratings.

Abstract

Salvinorin A is a kappa opioid agonist and the principal psychoactive constituent of the Salvia divinorum plant, which has been used for hallucinogenic effects. Previous research on salvinorin A pharmacokinetics likely underestimated plasma levels typically resulting from the doses administered due to inefficient vaporization and not collecting samples during peak drug effects. Six healthy adults inhaled a single high dose of vaporized salvinorin A (n = 4, 21 mcg/kg; n = 2, 18 mcg/kg). Participant- and monitor-rated effects were assessed every 2 min for 60 min post-inhalation. Blood samples were collected at 13 time points up to 90 min post-inhalation. Drug levels peaked at 2 min and then rapidly decreased. Drug levels were significantly, positively correlated with participant and monitor drug effect ratings. Significant elevations in prolactin were observed beginning 5 min post-inhalation and peaking at 15 min post-inhalation. Cortisol showed inconsistent increases across participants. Hormonal responses were not well correlated with drug levels. This is the first study to demonstrate a direct relationship between changes in plasma levels of salvinorin A and drug effects in humans. The results confirm the efficacy of an inhalation technique for salvinorin A.

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